Samuel Mahelona Memorial Hospital

A Medicare group practice based in Kapaa, HI: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 1759271216), with 78 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1759271216The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
HI
Enrollments
12
Group size
46 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 6 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20040318000116 HI Part B Supplier - Clinic/Group Practice 1346419553
O20061104000580 HI Part A Provider - Critical Access Hospital 1619038536
O20170403000085 HI Part A Provider - Skilled Nursing Facility 1528129442
O20210204002793 HI Part A Provider - Rural Health Clinic 1033705074
O20210204001593 HI Part A Provider - Rural Health Clinic 1528654555
O20210204001836 HI Part A Provider - Rural Health Clinic 1508452756
O20210204002901 HI Part A Provider - Rural Health Clinic 1669068680
O20210204002608 HI Part A Provider - Rural Health Clinic 1326634569
O20210204002849 HI Part A Provider - Rural Health Clinic 1083200232
O20210204002711 HI Part A Provider - Rural Health Clinic 1184210932
O20220803003018 HI Part A Provider - Critical Access Hospital 1255406575
O20200413003183 HI Part A Provider - Critical Access Hospital 1508927427

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 78

Clinicians who reassign their Medicare benefits to this group (69) or whom Care Compare lists as members (46).

Sources for this page